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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACY BENNER, PT

Active

STACY BENNER, PT is a Physical Therapy Assistant healthcare provider located in FREDERICK, Maryland. NPI 1104390962 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FREDERICK, MD

Registration Details

NPI Number
1104390962
Provider Type
Individual
Gender
Female
NPI Issued
Jan 15, 2019 (7.5555711995773 yrs)
Last Updated
Jan 15, 2019
License
17310 (MD)

Practice Information

Address
350 MONTEVUE LN
FREDERICK, MD, 217028214
Browse MD providers · Browse ZIP 21702
Phone
3016003211
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in FREDERICK, MD

Name Credential NPI
MR. BRIAN KEITH TUCKEY PT, OCS, JSCCI 1194729459
YVONNE TOWNSLEY MPT 1073511440
DR. RICHARD CONOVER MEAD PT 1730187030
MRS. RACHAEL TALLERICO MSPT 1376531145
GEORGE ALBERT WASHBURN MSPT 1780668566
MRS. VIRGINIA MARIE STANDFORD MSPT 1104805985
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.